January 15, 2021

**Extraordinary Assumptions: There are a lot of different data sources in this report not all of them match but aid to provide an overall picture of the current situation. COVID-19 Data Source Comparison - https://covid -19.splunkforgood.com/covid_19_datasource_comparison

Daily Situation Summary Friday, January 15, 2021 As of 10:00 AM COVID-19 by the Numbers San 01/15/2021 Los San San Luis Santa So-Cal United Riverside Imperial Kern Angeles* Orange Bernardino Diego Obispo Barbara Ventura Mono* Inyo Region California States Global Total Cases 231,684 24,882 77,070 954,652 204,442 243,379 204,173 14,851 23,126 57,941 1,017 790 1,960,937 2,859,624 23,193,703 91,816,091 New Cases 3,492 165 1,021 16,667 3,284 3,188 2,595 226 412 1,488 9 5 31,531 42,655 227,746 709,865 Total Cases Per Capita 9,387 12,983 8,312 9,307 6,332 10,976 6,058 3,254 5,212 6,795 7,285 4,281 8,338 7,126 7,011 1,187 New Cases Per Capita 141.48 86.09 110.11 162.49 101.72 143.77 76.99 49.52 92.85 174.49 64.47 27.10 1,121 106.29 68.84 9.18 Not

Recovered 150,726 22,348 24,353 Not Reported 129,485 216,842 153,590 11,919 19,987 48,577 Reported 682 754,156 1,219,573 14,168,373 67,196,627 Total Deaths 2,399 460 551 13,234 2,195 1,560 2,005 125 223 401 4 27 22,633 32,291 387,255 1,986,871 New Deaths 92 6 1 279 16 9 53 6 9 13 0 0 483 637 3,904 15,407 Deaths Per Capita 97.20 240.02 59.42 129.02 67.99 70.35 59.49 27.39 50.25 47.02 28.65 146.32 96.23 80.47 117.06 25.68 Presumptive active cases 78,559 2,074 52,166 72,762 24,977 48,578 2,807 2,916 8,963 81 241,717 1,607,760 8,638,075 22,632,593 % of State's Cases 8.10% 0.87% 2.70% 33.38% 7.15% 8.51% 7.14% 0.52% 0.81% 2.03% 0.04% 0.03% 68.57% 12.33% 25.26% Currently in Hospitals 1,692 150 445 7,897 2,155 1,723 1,785 58 196 446 0 0 16,102 21,856 Total Hospital Beds 3,492 263 1,168 19,626 5,950 3,841 6,553 460 598 1,183 17 29 42,012 67,613 Currently in ICU 353 61 80 1,710 534 343 427 9 52 88 0 0 3,577 4,745 ICU Beds Available 13 0 23 297 91 36 141 18 24 23 2 4 649 1,111 Case Fatality Rate 1.04% 1.85% 0.71% 1.39% 1.07% 0.64% 0.98% 0.84% 0.96% 0.69% 0.39% 3.42% 1.15% 1.13% 1.67% 2.16%

Population* 2,468,145 191,649 927,251 10,257,557 3,228,519 2,217,398 3,370,418 456,373 443,738 852,747 13,961 18,453 23,518,958 40,129,160 330,811,260 7,735,976,000 % of Population 6.15% 0.48% 2.31% 25.56% 8.05% 5.53% 8.40% 1.14% 1.11% 2.13% 0.03% 0.05% 58.61% 0.86% 0.2998% Sources: CDPH, WHO, CDC, Local County Data The date for which case statistics and hospital data were reported. Hospital COVID data are self-reported through a portal managed by the California Hospital Association and pulled at 2pm. COVID case statistics are reported by local health departments to CalREDIE and are pulled at 2pm. Hospital data and case statistics are integrated by the California Department of Technology and made available through the Open Data Portal the following morning. CA Open Data Portal is at least 24 Hours behind although a backlog of new case reports at the State level has ostensibly been cleared, some County dashboards still contain notes that indicate data are missing. *California Demographics from State Database Blueprint Data Chart 12-15-20 & census.gov . Presumptive active cases - A calculation (Total Cases - Recovered - Dead) (* LA and Mono County does not report recovery rates)

News US Data State Data More detail on page 2 More detail on page 4 More detail on page 9

Riverside County Data Weather More detail on page 14 More detail on page 17

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News – The collection of news articles is related to COVID-19. The inclusion or order of articles is not intended to reflect their importance, nor is it intended to endorse the political viewpoints or affiliations included in news coverage.

How solar tech could help distribute Covid-19 vaccines in Africa • While the African Union has secured 270 million vaccine doses for distribution across the continent, in addition to those promised by the global vaccine program COVAX, this could still fall short of demand for the region. • Even if enough vaccines are secured, there is an enormous logistical challenge: how to transport temperature-sensitive vaccines to places without reliable electricity and refrigeration. • The answer is in developing a "cold chain" -- a network of vehicles, fridges and cold rooms -- that can be used to transport the vaccine seamlessly from the manufacturer to the immunization point. • Providing solar power to off-grid clinics enables refrigeration as well as other medical procedures. "Fridges need power to run reliably in order to safely store vaccines, or else they will spoil. So we provide the power,". • Reaching the last mile. Gricd, a small Nigerian startup, is hoping to help fill this gap. It's building solar-powered cold boxes for vaccine transportation that can be kept at minus 20 degrees Celsius (minus 4 degrees Fahrenheit) and can be controlled remotely and monitored in real time. https://www.cnn.com/2021/01/14/africa/africa-covid-vaccine-cold-chain-spc-intl/index.html

Israel is launching Covid immunity passports. Here’s what they allow you to do • Israel has been lauded for deploying what is currently the fastest Covid-19 vaccination campaign in the world. • Less than a month after receiving its first shipments of the Pfizer-BioNTech jab, the country of 9 million has vaccinated around 20% of its population, and more than 72% of people over the age of 60 have already gotten their first dose of the shot. Israel’s health ministry aims to have 5.2 million of its citizens vaccinated by March. • The vaccinations, officials say, will help the country gradually exit its strict lockdown, and soon with the help of a new document: a Covid-19 vaccination certification, or what’s being called the “green booklet.” • Essentially an immunity passport announced by the Ministry of Health earlier this week, the “green booklet” would be given to people who’ve received two doses of the vaccine. • The booklet would offer vaccinated individuals significant freedom from Covid-19 safety restrictions. People holding it would no longer have to do the following: o Go into isolation after coming in contact with an infected person. o Go into isolation after international traveling to a Covid “red zone,” or countries with very high infection rates. o Have to be tested before entering certain touristy areas, known as “green islands.” • They would still, however, be required to wear a mask in public and maintain social distancing, staying two meters from others and avoiding social gatherings. https://www.cnbc.com/2021/01/15/israel-is-launching-covid-immunity-passports-for-vaccinated-citizens.html

Brazil rushes to save premature babies as Covid-19 swamps Manaus hospitals • Authorities in the Brazilian Amazon are reportedly racing to save dozens of premature babies after a surge in coronavirus cases caused a catastrophic breakdown in the oxygen supply to hospitals and clinics. • On Friday CNN Brasil reported that the northern state of Amazonas was seeking to transfer at least 60 babies from neonatal units in its capital, Manaus, to hospitals elsewhere in the country.

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• The emergency request to other state governments came as Brazil’s air force began evacuating coronavirus patients from the riverside city after a deadly interruption in the oxygen supply on Thursday morning. https://www.theguardian.com/world/2021/jan/15/brazil-premature-babies-manaus-coronavirus-covid-19

A new Covid variant has been discovered in Brazil — here’s what we know so far • News of the variant in Brazil comes after two separate mutant strains of the virus were discovered in the U.K. and South Africa earlier this year. • The U.K. imposed a ban on travelers from South America (and Portugal and Cape Verde) on Friday in an effort to stop people from bringing the new variant into the country. • Professor Devi Sridhar, chair of global public health at the University of Edinburgh, said Friday that the world had become “the virus’s playground to mutate and evolve, (especially) in countries which have allowed higher prevalence.” https://www.cnbc.com/2021/01/15/brazil-a-new-covid-variant-has-been-discovered-heres-what-we-know-so-far.html

CDC warns highly transmissible coronavirus variant to become dominant in U.S. • In every scenario explored by the CDC, the U.K. strain, which British researchers estimate is roughly 50 percent more transmissible than the more common coronavirus strain, will account for a majority of cases in the United States by some point in March. • The CDC released modeling data to back up its forecast showing a rapid spike in infections linked to the U.K. strain. The agency said the emergence of these mutation-laden variants requires greater efforts to limit viral spread — immediately, even before the U.K. variant becomes commonplace. • So far, no variant is known to cause more severe illness, although more infections would inevitably mean a higher death toll overall, as the CDC made clear in an informational graphic released Friday: “MORE SPREAD — MORE CASES — MORE DEATHS,” it said. https://www.washingtonpost.com/health/coronavirus-variant-dominant-us/2021/01/15/4420d814-5738-11eb-a817-e5e7f8a406d6_story.html

Dr. Fauci warns Covid variant found in South Africa could pose threat to antibody drugs • A mutated and more infectious coronavirus strain first identified in South Africa is “disturbing” and could pose a threat to Covid antibody treatments, White House advisor Dr. Anthony Fauci said. • Through discussions with health experts in South Africa, Fauci said preliminary data shows there’s “more of a threat” the strain would evade some of the protections antibody treatments provide. • The Centers for Disease Control and Prevention has said there’s no evidence so far to show the mutations alter the effectiveness of current vaccines. https://www.cnbc.com/2021/01/12/dr-fauci-warns-south-africa-covid-strain-could-pose-threat-to-antibody-drugs.html

Biden’s $1.9 trillion Covid relief plan calls for stimulus checks, unemployment support and more • President-elect Joe Biden on Thursday unveiled the details of a $1.9 trillion coronavirus rescue package. • The proposal, titled the American Rescue Plan, includes familiar stimulus measures with the goal of sustaining families and firms until vaccines are widely distributed. • The current plan is the first of two major spending initiatives Biden will seek in the first few months of his presidency. https://www.cnbc.com/2021/01/14/biden-stimulus-package-details-checks-unemployment-minimum-wage.html

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U.S. Data https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days

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https://covid.cdc.gov/covid-data-

tracker/#social-impact

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CDC Whats New https://www.cdc.gov/coronavirus/2019-ncov/whats-new-all.html • EARLY RELEASE: Emergence of SARS-CoV-2 B.1.1.7 Lineage - United States, December 29, 2020-January 12, 2021 Friday, January 15, 2021 • Cases in the U.S. Friday, January 15, 2021 • CDC Strategy for Global Response to COVID-19 (2020-2023) Friday, January 15, 2021 • Emerging SARS-CoV-2 Variants Friday, January 15, 2021 • New Variant of Virus that Causes COVID-19 Detected Friday, January 15, 2021 • Winter Holidays Friday, January 15, 2021 • Toolkit for Childcare Programs Friday, January 15, 2021 • Different COVID-19 Vaccines Friday, January 15, 2021 • Healthcare Facilities That Have Implemented COVID-19 Electronic Case Reporting Friday, January 15, 2021 • Frequently Asked Questions about COVID-19 Vaccination Friday, January 15, 2021 • Vaccines Friday, January 15, 2021 • Global COVID-19 Friday, January 15, 2021 • COVIDView Weekly Summary Friday, January 15, 2021 • COVID-19 and Animals Friday, January 15, 2021 • Mitigation Policies and COVID-19-Associated Mortality - 37 European Countries, January 23-June 30, 2020 Thursday, January 14, 2021 • Candida auris Outbreak in a COVID-19 Specialty Care Unit - Florida, July-August 2020 Thursday, January 14, 2021 • Rates of COVID-19 Among Residents and Staff Members in Nursing Homes - United States, May 25-November 22, 2020 Thursday, January 14, 2021 • Allergic Reactions Including Anaphylaxis After Receipt of the First Dose of Pfizer-BioNTech COVID-19 Vaccine - United States, December 14-23, 2020 Thursday, January 14, 2021 • K-12 Schools COVID-19 Mitigation Toolkit Thursday, January 14, 2021 • Toolkit for People 15 to 17 Thursday, January 14, 2021 • Toolkit for People 18 to 24 Thursday, January 14, 2021 • Toolkit for Summer Camps Thursday, January 14, 2021 • Holiday Celebrations Thursday, January 14, 2021 • Toolkit for People Experiencing Homelessness Thursday, January 14, 2021 • Operational Considerations for Schools Thursday, January 14, 2021 • Toolkit for Retirement Communities Thursday, January 14, 2021 • Toolkit for Tribal Communities Thursday, January 14, 2021 • Toolkit for Older Adults and People at Higher Risk Thursday, January 14, 2021 • Toolkit for Colleges and Universities Thursday, January 14, 2021 • Toolkit for Worker Safety & Support Thursday, January 14, 2021 • Toolkit for Parks & Recreational Facilities Thursday, January 14, 2021 • Toolkit for Youth Sports Thursday, January 14, 2021 Prepared by Justin Czerniak [email protected] Page 7 of 17

CDC Guidance https://www.cdc.gov/coronavirus/2019-ncov/communication/guidance-list.html?Sort=Date%3A%3Adesc

Public Health Guidance for Potential COVID-19 Exposure Associated with Travel CDC’s recommendations for travel-associated exposures. Date: 1/14/21 Audience: Federal, State & Local Government

Guidance on Integration of COVID-19 in Existing Acute Febrile Illness (AFI) Surveillance Systems Learn to integrate COVID-19 into an existing Acute Febrile Illness surveillance system. Date: 1/12/21 Audience: Federal, State & Local Government

Maintaining Essential Services for Malaria in Low-Resource Countries If essential malaria interventions are significantly disrupted due to COVID-19 challenges, numbers of malaria cases will significantly increase, and death rates could double Date: 1/11/21 Audience: Federal, State & Local Government

Operational Considerations for Immunization Services During COVID-19 in Non-US Settings Focusing on Low-Middle Income Countries Learn COVID-19 operational considerations to implement immunization services in non-US countries with low or middle incomes. Date: 1/11/21 Audience: Federal, State & Local Government

Markets: Operational considerations for COVID-19 mitigation measures in global low-resource setting Markets are a critical place of commerce and a source of many essential goods, but they can pose potential risks for COVID-19 transmission. This document provides suggestions for mitigating COVID-19 transmission in markets in low-resource settings and describes considerations associated with each mitigation measure. Date: 1/11/21 Audience: Employers, Business Owners & Community Leaders

Guidance for Large or Extended Families Living in the Same Household Guidance for Large or Extended Families Living in the Same Household Date: 1/11/21 Audience: General Public, Parents & Caregivers

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California Takes Action to Combat COVID-19 https://www.gov.ca.gov/california-takes-action-to-combat-covid-19/ State Data https://covid19.ca.gov/ https://update.covid19.ca.gov/#top https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx#

“Safer Economy Blueprint” https://covid19.ca.gov/safer-economy Press Releases, Executive Orders, Media Advisories,

Proclamations, and “On the Record” Column Blueprint for a Safer Economy – COVID-19 and Equity https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CaliforniaHealthEquityMetric.aspx https://www.gov.ca.gov/newsroom/ https://covid19.healthyplacesindex.org/ https://map.healthyplacesindex.org/

Statewide industry guidance to reduce risk https://covid19.ca.gov/industry-guidance/#top https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Guidance.aspx

Data models https://covid19.ca.gov/data-and-tools/

Vaccines https://covid19.ca.gov/vaccines/

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https://covid19.ca.gov/stay-home-except-for-essential-needs/#regional-stay-home-order

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As of 1-13-2021

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https://covid19.ca.gov/stay-home-except-for-essential-needs/#regional-stay-home-order

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Guidance Documents: Coronavirus Disease 2019 (COVID-19) CDPH News Releases 2020 https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Guidance.aspx https://www.cdph.ca.gov/Programs/OPA/Pages/New-Release-2020.aspx

• Blueprint for a Safer Economy 01/12/2021 State Officials Announce Latest COVID-19 Facts Proyecto para una economía más segura 12/13/2020 o • Travel Advisory 1/6/2020 December 31, 2020 - Today the California Department of Public Health • Order of the State Public Health Officer – Hospital Surge (CDPH) announced the most recent statistics on COVID-19, including

1/5/2021 data on intensive care unit (ICU) capacity across the state. Amendment to Order of the State Public Health Officer o State Officials Announce Latest COVID-19 Facts – Hospital Surge 1/6/2021 • Safe Schools for All Plan: Summary 12/30/2020 December 30, 2020 - The California Department of Public Health

o Safe Schools for All Plan: Rationale 12/30/2020 (CDPH) today announced the most recent statistics on COVID- Safe Schools for All Plan: Science 12/30/2020 19, including data on intensive care unit (ICU) capacity across the state. o • COVID -19 Preventative Care Guidelines 12/21/2020 State Officials Announce Latest COVID-19 Facts • Outdoor and Indoor Youth and Recreational Adult

Sports 12/14/2020 December 29, 2020 - The California Department of Public Health • COVID -19 Quarantine Guidance 12/14/2020 (CDPH) today announced the most recent statistics on COVID- • AB 685 COVID-19 Workplace Outbreak Reporting 19, including data on intensive care unit (ICU) capacity across the state. Requirements for Local Public Health Departments 12/10/2020 State Officials Announce Latest COVID-19 Facts • Health Alert for Individuals with Chronic Conditions in California Disproportionately Impacted by COVID- December 28, 2020 - The California Department of Public Health 19 12/11/2020 (CDPH) today announced the most recent statistics on COVID- • Allocation and Distribution Strategy for Monoclonal Antibodies 19, including data on intensive care unit (ICU) capacity across the state. 12/9/2020 State Officials Announce Latest COVID-19 Facts • Regional Stay At Home Order 12/03/2020

o Supplement to Regional Stay At Home Order 12/06/2020 December 27, 2020 - The California Department of Public Health • Limited Stay At Home Order 11/19/2020 (CDPH) today announced the most recent statistics on COVID- o Supplement to Limited Stay At Home Order 12/22/20 19, including data on intensive care unit (ICU) capacity across the state. Limited Stay At Home Order FAQ 11/19/2020 o • Guidance for the Prevention of COVID-19 Transmission for Gatherings 11/13/2020

o Guía para reuniones privadas 11/13/2020

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Riverside County Data https://www.rivcoph.org/coronavirus

RUHS Public Health News: • Riverside County health officials scheduled several COVID-19 vaccine 13 clinics throughout region English / Spanish - January 13, 2021 • State Oxygen Depot Established in Riverside County to Assist Area Hospitals with Oxygen Needs - January 07, 2021 • Remembering the COVID-19 victims - December 31, 2020 • Data glitch prevents reporting of coronavirus cases for cities and zip codes on RUHS-Public Health website English / Spanish- December 15, 2020

Dashboard -Click here for more detailed city/community data and reports

Find a a testing site Get tested for #COVID19 with or without medical insurance at no cost to you! Make an appointment here https://gettested.ruhealth.org #RivCoNOW #RUHealth

Need Food Access – Click here Need Peer Support – Click here Need Prescriptions Delivered – Click here https://www.ruhealth.org/ https://www.ruhealth.org/ https://www.ruhealth.org/

Daily Epidemiology Summary updated 1-14-2020 https://www.rivcoph.org/Portals/0/Documents/CoronaVirus/Jan2021/Dashboard/2/Public%20Daily_COVID-19_Updates%2001-14-21.pdf?ver=2021-01-14-141231-440×tamp=1610662364612

Licensed Hospital/ICU Beds Utilization Trends updated 1-13-2020 https://www.rivcoph.org/Portals/0/Documents/CoronaVirus/Jan2021/Dashboard/2/EMD_COVID-19_Metrics_Public_Dashboard_01-13-2021.pdf?ver=2021-01-13-155349-037×tamp=1610582036482

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https://www.ruhealth.org/covid-19-vaccine - Site was down at the time of the report.

RUHS Public Health: • Riverside County activates incident management team, plans for regional COVID-19 vaccine supersites English / Spanish - January 13, 2021 • COVID Vaccination Clinics for Providers - January 6, 2021 • Healthcare worker vaccination clinics - January 5, 2021 • Updated COVID-19 Schedule - January 5, 2021 • Updated COVID-19 Vaccine Allocations English / Spanish - December 30, 2020 • Updated COVID-19 Vaccination Plan - December 29, 2020 • CDC: Vaccine Resources - December 18, 2020 • California Covid-19 Vaccination Program Enrollment - December 18, 2020 • RUHS Public Health: Riverside County health officials anticipate first shipment of COVID-19 vaccine Dec. 18 English / Spanish- December 14, 2020 • COVID-19 Vaccine Information English / Spanish - December 14, 2020

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Weather

Latest hazard threat table: https://www.wrh.noaa.gov/sgx/event/dsstable.php https://www.weather.gov/forecastpoints#

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